This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

ALEXANDER LURJE

Arch Surg. 1938;37(5):808-810.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Retroperitoneal duodenal tears occupy a particular place among subcutaneous intestinal ruptures of traumatic origin. The integrity of the peritoneum creates diagnostic difficulties during the first hours after the trauma.

According to the statistical reports of Kenn,¹ only 9 of 138 patients with retroperitoneal and intraperitoneal duodenal ruptures recovered. Retroperitoneal ruptures are often overlooked during laparotomy (Gibe²). The presence of retroperitoneal hematoma, emphysema or a green spot on the parietal peritoneum makes the surgeon suspect ruptures of the retroperitoneal hollow organs. The diagnosis is most difficult in cases in which there are injuries of other viscera. In case of blunt trauma to the abdomen, after manipulation of the intestine and other internal organs has been completed the duodenum should be investigated if there are evidences of retroperitoneal hematoma, emphysema or a green spot on the parietal peritoneum. The location of the lower horizontal part of the duodenum on the . . . [Full Text PDF of this Article]

Author Affiliations
IVANOVO, U. S. S. R.

From the Surgical Clinic, Prof. Dr. Med. M. A. Kimbarowsky, Director.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?